← 返回

拆解复发/难治性套细胞淋巴瘤

英文原题:Dismantling relapsed/refractory mantle cell lymphoma.

查看英文原题

Dismantling relapsed/refractory mantle cell lymphoma.

PubMed 2024/06/13(内容时间) Blood Rev Q1 · IF 7.2(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

尽管非霍奇金淋巴瘤领域的治疗近期取得了进展,但复发/难治性(R/R)套细胞淋巴瘤(MCL)的有效治疗仍是一项挑战。Bruton酪氨酸激酶(BTK)抑制剂的开发彻底改变了这一领域,这些药物现已成为R/R MCL管理的主要手段。然而,BTK抑制剂并非治愈性,且随着它们越来越多地被纳入一线方案,R/R疾病不断变化的治疗格局带来了新的挑战。本文综述了常用治疗策略的数据,包括BTK抑制剂、BCL2抑制剂venetoclax、基于来那度胺的方案以及CAR-T 细胞疗法。我们还综述了有前景的新药数据,包括抗体药物偶联物和双特异性抗体,随后重点介绍了一些新兴靶向药物,这些药物继续为改善R/R MCL的结局带来希望。

展开英文摘要原文

Despite recent therapeutic advancements in the general field of non-Hodgkin lymphoma, effective treatment of relapsed or refractory (R/R) mantle cell lymphoma (MCL) remains a challenge. The development of Bruton tyrosine kinase (BTK) inhibitors has revolutionized the field and these agents are now the mainstay of R/R MCL management.

However, BTK inhibitors are not curative, and as they are increasingly being incorporated into frontline regimens, the shifting treatment landscape for R/R disease presents new challenges.

Here we review data for commonly employed treatment strategies including BTK inhibitors, the BCL2-inhibitor venetoclax, lenalidomide-based regimens, and chimeric antigen receptor T-cell therapy.

We additionally review data for promising novel agents including antibody-drug conjugates and bispecific antibodies before highlighting some emerging targeted agents that continue to bring promise for improved outcomes in R/R MCL.

论文信息

作者
Ryan CE、Kumar A
单位
Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. Electronic address: christine_ryan@dfci.harvard.edu.United States
文献类型
综述 · 美国政府(非公共卫生署)资助研究
期刊
Blood reviews2024 Sep
原文标识
PubMed 38906740 · DOI 10.1016/j.blre.2024.101221